Tracie Collins, LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

TRACIE COLLINS, LLC

Doing business as

National Black Doula Association

Practice address

3651 Peachtree Pkwy Ste E-380
Suwanee, GA 30024-6034

Phone

(404) 590-6809

NPI assigned

Sep 29, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tracie M Cobb

Title

Ceo

Phone

(404) 590-6809

Specialties & licenses 1

Addresses

Other names 1

• National Black Doula Association Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracie Monea Enis

  • Community Health Worker
  • Oakland, CA
  • NPI 1649413923
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1649994096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3651 PEACHTREE PKWY STE E-380",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246034",
            "telephone_number": "404-590-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3651 PEACHTREE PKWY STE E-380",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246034",
            "telephone_number": "404-590-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACIE COLLINS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-590-6809"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.blackdoulas.org",
            "affiliation": "N",
            "endpointDescription": "Company website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3651 Peachtree Pkwy Ste E-380",
            "city": "Suwanee",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300246034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "National Black Doula Association",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Point of Service in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Point of Service in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.